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沙特阿拉伯卡西姆地区医院从业者的工作相关肌肉骨骼疾病

Work-Related Musculoskeletal Disorders Among Medical Practitioners in the Hospitals of Al'Qassim Region, Saudi Arabia‏.

作者信息

Alwabli Yasser, Almatroudi Moath A, Alharbi Meshari A, Alharbi Muath Y, Alreshood Sultan, Althwiny Faisal A

机构信息

Orthopaedics, College of Medicine, Qassim University, Buraidah, SAU.

Orthopaedics, Unaizah College of Medicine, Qassim University, Unaizah, SAU.

出版信息

Cureus. 2020 May 31;12(5):e8382. doi: 10.7759/cureus.8382.

Abstract

Introduction Work-related musculoskeletal disorders (WMSDs) have a significant impact on the workplace; they have been growing as a problem in our population, especially among healthcare practitioners. The aim of the study was to determine the prevalence of the condition, evaluate the WMSDs experienced by practitioners in different specialties in different hospitals in the Al'Qassim region, and study various risk factors that contribute to the development of WMSDs. Methods After gaining the Institutional Review Board (IRB) approval, a cross-sectional study was conducted among all medical care practitioners at hospitals in the Al'Qassim region. Data were collected using a validated, standardized, and self-administered questionnaire. The data were analyzed using the SAS software version 9.4 (SAS Institute Inc., Cary, NC). Results  The study result revealed that out of 382 participants, just over half (209, 54.7%) experienced WMSDs. Among them, 103 (27.54%) were males, and 271 (72.54%) were females. The average age of participants was 31.25 ±6.82 years. Participants with experience of 6-10 years were twice as likely to develop WMSDs compared to participants with fewer years of experience [odds ratio (OR): 2.342; 95% confidence interval (CI): 1.062-5.168; p = 0.0350]. There was no significant difference in terms of past medical history between the two groups except for the history of having low back pain, which was more common in participants with WMSDs (77.59% versus 22.41%; p: <0.0001), and neck pain (74.19% versus 25.81%; p = 0.0003). Almost all job risk factors varied significantly between the groups (p: <0.05). Prevalent risk factors included performing the same task over and over again (134, 37.96%), treating an excessive number of patients in one day (127, 35.88%), and working in the same positions (126, 35.8%). Conclusions Based on this study findings, we can conclude that WMSDs affect a high proportion of healthcare professionals; the female gender and more than six years of experience were found to be major predictors for WMSDs. Pain in the lower back, shoulders, and neck were the most frequently reported musculoskeletal complaints (MSCs). Hence, we recommend the incorporation of musculoskeletal disorder prevention programs in the hospitals' educational programs as they will reduce the rate of WMSDs and ensure the health and well-being of healthcare practitioners.

摘要

引言 工作相关的肌肉骨骼疾病(WMSDs)对工作场所有着重大影响;在我们的人群中,这一问题一直在增加,尤其是在医疗从业者中。本研究的目的是确定该疾病的患病率,评估卡西姆地区不同医院不同专业的从业者所经历的WMSDs,并研究导致WMSDs发生的各种风险因素。方法 在获得机构审查委员会(IRB)批准后,对卡西姆地区医院的所有医疗从业者进行了一项横断面研究。使用经过验证、标准化且可自行填写的问卷收集数据。使用SAS软件9.4版(SAS Institute Inc.,卡里,北卡罗来纳州)对数据进行分析。结果 研究结果显示,在382名参与者中,略超过一半(209名,54.7%)经历过WMSDs。其中,103名(27.54%)为男性,271名(72.54%)为女性。参与者的平均年龄为31.25±6.82岁。有6至10年工作经验的参与者患WMSDs的可能性是工作经验较少的参与者的两倍[优势比(OR):2.342;95%置信区间(CI):1.062 - 5.168;p = 0.0350]。除了腰痛病史外,两组在既往病史方面没有显著差异,腰痛在患有WMSDs的参与者中更为常见(77.59%对22.41%;p:<0.0001),以及颈部疼痛(74.19%对25.81%;p = 0.0003)。几乎所有工作风险因素在两组之间都有显著差异(p:<0.05)。常见的风险因素包括反复执行相同任务(134例,37.96%)、一天内治疗过多患者(127例,35.88%)以及长时间保持相同姿势(126例,35.8%)。结论 根据本研究结果,我们可以得出结论,WMSDs影响了很大比例的医疗专业人员;女性和超过六年的工作经验被发现是WMSDs的主要预测因素。下背部、肩部和颈部疼痛是最常报告的肌肉骨骼疾病(MSCs)。因此,我们建议在医院的教育项目中纳入肌肉骨骼疾病预防计划,因为这将降低WMSDs的发生率,并确保医疗从业者的健康和福祉。

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